TY - JOUR
T1 - Comparison of full-thickness skin graft and punch grafting in the reconstruction of plantar defects
AU - Lee, Sang Gyun
AU - Nam, Kyoung Ae
AU - Oh, Byung Ho
AU - Chung, Kee Yang
AU - Roh, Mi Ryung
N1 - Publisher Copyright:
© 2023 Japanese Dermatological Association.
PY - 2024/1
Y1 - 2024/1
N2 - Acral melanoma commonly occurs on weight-bearing areas of the sole. Reconstruction of such areas presents a surgical challenge due to limited availability and mobility of local skin. Thus, we aimed to compare the scar outcome of full-thickness skin graft (FTSG) and punch grafting in the reconstruction of plantar defects after melanoma surgery. We retrospectively reviewed six patients who underwent both FTSG for nonweight-bearing areas and punch grafting for weight-bearing areas. We compared results of FTSG and punch grafting within the same patient. Photos of completely healed scars were graded using the Stony Brook Scar Evaluation Scale (SBSES). The averages of the FTSG scores and the punch graft scores, as measured by the SBSES, were statistically compared. Punch grafting yielded a better outcome than FTSG, according to the SBSES. The average of the punch grafting scars was 4.67, which was significantly greater (p = 0.004) than that of FTSG scar scores at 1.83. For weight-bearing areas, punch grafting should be considered as the first option of reconstruction, with FTSG as a second option for nonweight-bearing areas. Overall, this combined approach provides an effective and safe method for reconstruction of extensive plantar wounds.
AB - Acral melanoma commonly occurs on weight-bearing areas of the sole. Reconstruction of such areas presents a surgical challenge due to limited availability and mobility of local skin. Thus, we aimed to compare the scar outcome of full-thickness skin graft (FTSG) and punch grafting in the reconstruction of plantar defects after melanoma surgery. We retrospectively reviewed six patients who underwent both FTSG for nonweight-bearing areas and punch grafting for weight-bearing areas. We compared results of FTSG and punch grafting within the same patient. Photos of completely healed scars were graded using the Stony Brook Scar Evaluation Scale (SBSES). The averages of the FTSG scores and the punch graft scores, as measured by the SBSES, were statistically compared. Punch grafting yielded a better outcome than FTSG, according to the SBSES. The average of the punch grafting scars was 4.67, which was significantly greater (p = 0.004) than that of FTSG scar scores at 1.83. For weight-bearing areas, punch grafting should be considered as the first option of reconstruction, with FTSG as a second option for nonweight-bearing areas. Overall, this combined approach provides an effective and safe method for reconstruction of extensive plantar wounds.
KW - acral lentiginous melanoma
KW - negative pressure wound therapy
KW - punch grafting
UR - http://www.scopus.com/inward/record.url?scp=85176102955&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85176102955&partnerID=8YFLogxK
U2 - 10.1111/1346-8138.17018
DO - 10.1111/1346-8138.17018
M3 - Article
C2 - 37929298
AN - SCOPUS:85176102955
SN - 0385-2407
VL - 51
SP - 76
EP - 80
JO - Journal of Dermatology
JF - Journal of Dermatology
IS - 1
ER -